Midwest Spine and Rehab Corp

NPI #1285830133 in O Fallon, Illinois

Provider Information

NPI Number
1285830133
Entity Type
Organization
Organization Name
Midwest Spine and Rehab Corp
Primary Specialty
Chiropractor
Enumeration Date
Jun 26, 2007
Last Updated
Nov 23, 2007

Practice Location

Address
705 W US HIGHWAY 50
ZIP Code
62269-1900
Phone
(618) 624-4242

Authorized Official

Name
DR. GREG SCOTT KOMESHAK, D.C
Title
OWNER
Phone
(618) 624-4242

Specialties & Taxonomy Codes

Specialty
Chiropractor

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